Healthcare Provider Details

I. General information

NPI: 1427333202
Provider Name (Legal Business Name): MARY M SENKOSKY MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 SHERMAN ST. #101
DENVER CO
80203
US

IV. Provider business mailing address

3461 FOXHILL CT
HIGHLANDS RANCH CO
80129
US

V. Phone/Fax

Practice location:
  • Phone: 720-841-7991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3963
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number4297
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: